Rosche Nina, Stehr Wolfgang
University of California, San Francisco (UCSF) Benioff Children's Hospital, Oakland, California (Ms Rosche and Dr Stehr). Nina Rosche, MSN, RN, PNP, VA-BC, is interested in new technologies in advancing vascular access care delivery for pediatric patients. She has been a pediatric nurse practitioner for 4 years and is currently a vascular access nurse practitioner specializing in the insertion, maintenance, and quality improvement of vascular access devices. Wolfgang Stehr, MD, MBA, FACS, is focused on patient safety, operational improvement, and resource utilization. For the past 6 years Dr Stehr has engaged in the Toyota lean operational improvement process and is physician-champion of the vascular access team.
J Infus Nurs. 2018 Sep/Oct;41(5):301-308. doi: 10.1097/NAN.0000000000000293.
The purpose of this study was to investigate whether a magnetic tracking and electrocardiogram-based tip confirmation system (TCS) (Sherlock 3CG Tip Confirmation System; Bard, Covington, GA) permits safe and correct placement of a peripherally inserted central catheter (PICC) in the pediatric population. A total of 144 PICCs were placed using the TCS. After excluding participants for various reasons, 112/121 (92.56%) of PICCs were appropriately placed using the TCS. The TCS confirmed tip location an average of 7 to 18 minutes faster than radiographic imaging. There were no complications associated with the insertion of the PICCs using the TCS.
本研究的目的是调查基于磁跟踪和心电图的尖端确认系统（TCS）（Sherlock 3CG尖端确认系统；巴德公司，佐治亚州科温顿）是否能使儿科患者安全、正确地放置经外周静脉穿刺中心静脉导管（PICC）。使用TCS共放置了144根PICC。在因各种原因排除参与者后，121根PICC中有112根（92.56%）使用TCS正确放置。TCS确认尖端位置的速度比放射成像平均快7至18分钟。使用TCS插入PICC未出现并发症。
